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28
ago about 5y
pauend
Report
Reported
Physical Activity and Sedentary Behaviour Survey
This is a short questionnaire.
I need this for my studies.
Questionnaire results are publicly available
Name:
✪
Age Group:
✪
- select -
18-24
25-34
35-44
45-54
55-64
65+
Gender:
✪
- select -
Male
Female
How many days in a week did you spend being Physically Active?
✪
During the last month
- select -
0
1
2
3
4
5
6
7
How many minutes did you spend being Physically Active on those days?
✪
During the last month/Answer to the closest matching number
- select -
0
30
60
90
120
150
Rate your level of Physical Activity:
✪
Please answer as truthfully as you can
Low
Low/Moderate
Moderate
Moderate/Vigorous
Vigorous
How many hours a day did you spend doing the following:
✪
During the last month
1
2
3
4
5
6
7
8+
Sitting
Walking
Standing
Sleeping
How many Liters of water did you drink per day?
✪
During the last month/Answer to the best of your knowledge
- select -
1
2
3
4
5+
How would you rate your overall health:
✪
- select -
Very Unhealthy
Unhealthy
Not Bad
Healthy
Very Healthy
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